Would you please take 2 mins for this simple Health survey?

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Last Name *

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Please share the name of the person who referred you to this survey:

Check here to agree to receive supportive information from us. We will never use your information for solicitation.

How much of a priority is your health?

How do you feel about your current diet and nutrition?

How do you feel about your weight?

How do you feel about your energy levels?

How do you feel about your pain levels?

How important is your microbiome (gut health) to you?

On average, how many hours of sleep do you get per night?

"The heart attack at 50 began at 20."

Alzheimer's at 70 started at 40.

The loss of independence at 80 began at 30.

The aging you want tomorrow begins with the choices you make today."

Which of these health statistics concern you the most in ADULTS?

Which of these health statistics concern you the most in YOUNG ADULTS?

Which of these health statistics concerns you the most in TEENS?

Does it concern you that 1 in 36 children are diagnosed with autism?

Would you be available to attend a short Zoom class to learn more?

Would you be open to learning more about nutritional approaches to address health concerns?

Which statement do you most align with?

Is there any other information that you would like to share with us regarding your health goals?